tci Medicare Compliance & Reimbursement - 2012 Issue 13
Reader Question: Shifting Between MD Supervision and Direction
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Article Overview
This article addresses a practical anesthesia billing scenario involving CRNAs, an anesthesiologist, and an emergency interruption that may affect how the cases are reported. It explains the general circumstances being evaluated, the role of CMS guidance, and the broad reporting approach discussed for medically directed versus non-directed anesthesia services. The piece is useful for anesthesia coders, billing staff, and compliance teams reviewing concurrent case supervision questions.
Why This Topic Matters
Anesthesia claims can change when supervision or medical direction status is interrupted, so this topic is important for accurate claim reporting and compliance review. It helps readers understand how an emergency event can affect the way a set of concurrent CRNA cases is handled.
What You Will Learn
- How anesthesia case reporting is discussed when an anesthesiologist is pulled into an emergency
- How CMS guidance is used in evaluating concurrent anesthesia coverage
- The general distinction between medically directed and non-directed CRNA service reporting
- Which stakeholders typically need this type of guidance in anesthesia billing workflows
Who Should Read This
- Anesthesia coders
- Billing staff
- Practice managers
- Compliance personnel
- CRNAs
- Anesthesiologists
Modifiers Discussed
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